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id="1463793187414908929_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793187414908929" itemCode="CM-0-2-1-5"><a id="1463793187414908929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793187414908929_Note"></span></div><div class="itemTR" id="1463793189545615362_Row" dic='[{"formItemId":1463793189545615362,"isDefault":0,"updateDate":1700191214000,"code":"UTD","id":1463793970411773954,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793189545615362" itemCode="CM-0-2-2-1"></div><a id="1463793189545615362_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793189545615362_Note"></span></div><div class="itemTR" id="1463793191466606594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD">发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793191466606594" itemCode="CM-0-2-2-2"><a id="1463793191466606594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793191466606594_Note"></span></div><div class="itemTR" id="1463793193253380098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793193253380098" itemCode="CM-0-2-4-1"><a id="1463793193253380098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793193253380098_Note"></span></div><div class="itemTR" id="1463793195149205505_Row" dic='[]'><div style="display:inline-block;width:35%;" title="age" class="itemDescTD">年龄</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793195149205505" itemCode="age"><a id="1463793195149205505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793195149205505_Note"></span></div><div class="itemTR" id="1463793198714363906_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793198714363906" itemCode="CM-0-2-4-2"><a id="1463793198714363906_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793198714363906_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463793202405351426_Row" dic='[{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463793972169187329,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463793972806721538,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463793973444255746,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463793974132121602,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463793974861930498,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"f","id":1463793975491076098,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"g","id":1463793976124416002,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"h","id":1463793976829059074,"indNo":9,"isActive":1,"desc":"其他社会保险（ 生育保险、工伤保险、农民工保险等）"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"i","id":1463793981899972609,"indNo":10,"isActive":1,"desc":"其他"},{"formItemId":1463793202405351426,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289069935288322,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>费用支付方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793202405351426" itemCode="CM-0-3-1"><a id="1463793202405351426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793202405351426_Note"></span></div><div class="itemTR" id="1463793205668519938_Row" dic='[{"formItemId":1463793205668519938,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463793983313453057,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463793205668519938,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463793984013901826,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463793205668519938,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463793984773070849,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463793205668519938,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463793985460936706,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463793205668519938,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463793986152996866,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463793205668519938,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289070400856065,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793205668519938" itemCode="CM-0-3-2"><a id="1463793205668519938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793205668519938_Note"></span></div><div class="itemTR" id="1463793207652425730_Row" dic='[{"formItemId":1463793207652425730,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463793994243809281,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463793207652425730,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463793995237859329,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463793207652425730,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463793995938308097,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463793207652425730,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463793996638756866,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1463793207652425730,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289070690263041,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793207652425730" itemCode="CM-0-3-3"><a id="1463793207652425730_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793207652425730_Note"></span></div><div class="itemTR" id="1463793209523085314_Row" dic='[{"formItemId":1463793209523085314,"isDefault":1,"updateDate":1704160186000,"code":"a","matchRule":"","updateUser":"admin","id":1463793997909630977,"indNo":2,"isActive":1,"keyword":"","desc":"自愿"},{"formItemId":1463793209523085314,"isDefault":0,"updateDate":1704160186000,"code":"b","matchRule":"","updateUser":"admin","id":1463793998756880386,"indNo":3,"isActive":1,"keyword":"","desc":"非自愿"},{"formItemId":1463793209523085314,"isDefault":0,"updateDate":1704160186000,"code":"c","matchRule":"","updateUser":"admin","id":1463793999524438018,"indNo":4,"isActive":1,"keyword":"","desc":"不详"},{"formItemId":1463793209523085314,"isDefault":0,"updateDate":1704160186000,"code":"def","matchRule":"","updateUser":"admin","id":1583289070925144065,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-0-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院种类</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793209523085314" itemCode="HBIPS-0-3-6"><a id="1463793209523085314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793209523085314_Note"></span></div><div class="itemTR" id="1463793211305664514_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-0-3-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>第几次住院</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793211305664514" itemCode="HBIPS-0-3-7"><a id="1463793211305664514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793211305664514_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('HBIPS-1 患者入院病情评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBIPS-1 患者入院病情评估</div><div title="HBIPS-1 患者入院病情评估"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463793213063077890_Row" dic='[{"formItemId":1463793213063077890,"isDefault":0,"updateDate":1704162080000,"code":"y","matchRule":"","updateUser":"admin","id":1463794000841449474,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793213063077890,"isDefault":1,"updateDate":1704162080000,"code":"n","matchRule":"","updateUser":"admin","id":1463794001483177986,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院时是否实施首次评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793213063077890" itemCode="HBIPS-1-1"></div><a id="1463793213063077890_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793213063077890_Note"></span></div><div class="itemTR" id="1463793215017623553_Row" dic='[{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794002863104002,"indNo":1,"isActive":1,"desc":"1)Young氏躁狂评定量表(YMRS)"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794003622273025,"indNo":2,"isActive":1,"desc":"2)攻击风险评估表要求"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794004394024962,"indNo":3,"isActive":1,"desc":"3)汉密尔顿抑郁量表（HAMD）"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794005077696513,"indNo":4,"isActive":1,"desc":"4)日常生活能力量表(ADL)"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794005740396545,"indNo":5,"isActive":1,"desc":"5)阳性与阴性症状量表（PANSS）"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"f","id":1463794006415679489,"indNo":6,"isActive":1,"desc":"6)药物不良反应量表（TESS）"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"g","id":1463794007120322561,"indNo":7,"isActive":1,"desc":"7)住院病人护士观察量表"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"h","id":1463794007799799810,"indNo":8,"isActive":1,"desc":"8)自杀危险因素评估表"},{"formItemId":1463793215017623553,"isDefault":0,"updateDate":1700191214000,"code":"i","id":1463794008563163138,"indNo":9,"isActive":1,"desc":"9)其他由省级卫生行政部门或医院指定的评估表"}]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院时对住院患者实施评估</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463793215017623553" itemCode="HBIPS-1-2"></div><a id="1463793215017623553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793215017623553_Note"></span></div><p title="1)Young氏躁狂评定量表(YMRS)" class="itemsubCat">1)Young氏躁狂评定量表(YMRS)</p><div class="itemTR" id="1463793218201100289_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793218201100289" itemCode="HBIPS-1-2-1-1"><a id="1463793218201100289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793218201100289_Note"></span></div><p title="2)攻击风险评估表要求" class="itemsubCat">2)攻击风险评估表要求</p><div class="itemTR" id="1463793222022111234_Row" dic='[{"formItemId":1463793222022111234,"isDefault":0,"updateDate":1700191214000,"code":"Ⅰ","id":1463794009959866370,"indNo":2,"isActive":1,"desc":"Ⅰ"},{"formItemId":1463793222022111234,"isDefault":0,"updateDate":1700191214000,"code":"Ⅱ","id":1463794010698063873,"indNo":3,"isActive":1,"desc":"Ⅱ"},{"formItemId":1463793222022111234,"isDefault":0,"updateDate":1700191214000,"code":"Ⅲ","id":1463794011339792385,"indNo":4,"isActive":1,"desc":"Ⅲ"},{"formItemId":1463793222022111234,"isDefault":0,"updateDate":1700191214000,"code":"Ⅳ","id":1463794011977326593,"indNo":5,"isActive":1,"desc":"Ⅳ"},{"formItemId":1463793222022111234,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289071717867521,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793222022111234" itemCode="HBIPS-1-2-2-1"><a id="1463793222022111234_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793222022111234_Note"></span></div><p title="3)汉密尔顿抑郁量表（HAMD）" class="itemsubCat">3)汉密尔顿抑郁量表（HAMD）</p><div class="itemTR" id="1463793225817956353_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793225817956353" itemCode="HBIPS-1-2-3-1"><a id="1463793225817956353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793225817956353_Note"></span></div><p title="4)日常生活能力量表(ADL)" class="itemsubCat">4)日常生活能力量表(ADL)</p><div class="itemTR" id="1463793229802545153_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793229802545153" itemCode="HBIPS-1-2-4-1"><a id="1463793229802545153_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793229802545153_Note"></span></div><p title="5)阳性与阴性症状量表（PANSS）" class="itemsubCat">5)阳性与阴性症状量表（PANSS）</p><div class="itemTR" id="1463793233451589634_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793233451589634" itemCode="HBIPS-1-2-5-1"><a id="1463793233451589634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793233451589634_Note"></span></div><p title="6)药物不良反应量表（TESS）" class="itemsubCat">6)药物不良反应量表（TESS）</p><div class="itemTR" id="1463793237058691074_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793237058691074" itemCode="HBIPS-1-2-6-1"><a id="1463793237058691074_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793237058691074_Note"></span></div><p title="7)住院病人护士观察量表" class="itemsubCat">7)住院病人护士观察量表</p><div class="itemTR" id="1463793240657403906_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-7-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793240657403906" itemCode="HBIPS-1-2-7-1"><a id="1463793240657403906_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793240657403906_Note"></span></div><p title="8)自杀危险因素评估表" class="itemsubCat">8)自杀危险因素评估表</p><div class="itemTR" id="1463793244344197121_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-8-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793244344197121" itemCode="HBIPS-1-2-8-1"><a id="1463793244344197121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793244344197121_Note"></span></div><p title="9)其他由省级卫生行政部门或医院指定的评估表" class="itemsubCat">9)其他由省级卫生行政部门或医院指定的评估表</p><div class="itemTR" id="1463793247867412481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-1-2-9-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后首次评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793247867412481" itemCode="HBIPS-1-2-9-1"><a id="1463793247867412481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793247867412481_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('HBIPS-2 住院期间严重不良事件')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBIPS-2 住院期间严重不良事件</div><div title="HBIPS-2 住院期间严重不良事件"><p title="住院患者压疮发生率及严重程度" class="itemsubCat">住院患者压疮发生率及严重程度</p><div class="itemTR" id="1463793251768115201_Row" dic='[{"formItemId":1463793251768115201,"isDefault":0,"updateDate":1704162097000,"code":"y","matchRule":"","updateUser":"admin","id":1463794016469426177,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793251768115201,"isDefault":1,"updateDate":1704162097000,"code":"n","matchRule":"","updateUser":"admin","id":1463794017136320513,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生压疮</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793251768115201" itemCode="HBIPS-2-1"></div><a id="1463793251768115201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793251768115201_Note"></span></div><div class="itemTR" id="1463793253546500098_Row" dic='[{"formItemId":1463793253546500098,"isDefault":0,"updateDate":1700191214000,"code":"y","id":1463794018444943361,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463793253546500098,"isDefault":0,"updateDate":1700191214000,"code":"n","id":1463794019107643394,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者入院前是否已有压疮</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793253546500098" itemCode="HBIPS-2-2-1"></div><a id="1463793253546500098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793253546500098_Note"></span></div><div class="itemTR" id="1463793256457347074_Row" dic='[{"formItemId":1463793256457347074,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794021301264385,"indNo":2,"isActive":1,"desc":"ICD-10:L89.0受压区Ⅰ期压疮"},{"formItemId":1463793256457347074,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794021930409985,"indNo":3,"isActive":1,"desc":"ICD-10:L89.1受压区Ⅱ期压疮"},{"formItemId":1463793256457347074,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794022559555585,"indNo":4,"isActive":1,"desc":"ICD-10:L89.2受压区Ⅲ期压疮"},{"formItemId":1463793256457347074,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794023360667649,"indNo":5,"isActive":1,"desc":"ICD-10:L89.3受压区Ⅳ期压疮"},{"formItemId":1463793256457347074,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289072246349825,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>门诊或急诊诊断中有压疮</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793256457347074" itemCode="HBIPS-2-2-2"><a id="1463793256457347074_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793256457347074_Note"></span></div><div class="itemTR" id="1463793258323812353_Row" dic='[{"formItemId":1463793258323812353,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794024606375938,"indNo":2,"isActive":1,"desc":"来自家庭入住时有压疮的患者"},{"formItemId":1463793258323812353,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794025260687361,"indNo":3,"isActive":1,"desc":"来自养老院入住时有压疮的患者"},{"formItemId":1463793258323812353,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794025940164610,"indNo":4,"isActive":1,"desc":"来自其他医院转入时有压疮的患者"},{"formItemId":1463793258323812353,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794026779025409,"indNo":5,"isActive":1,"desc":"来自其他来源入住时有压疮的患者"},{"formItemId":1463793258323812353,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289072493813761,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>门诊或急诊记录的压疮发生地点</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793258323812353" itemCode="HBIPS-2-2-3"><a id="1463793258323812353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793258323812353_Note"></span></div><div class="itemTR" id="1463793260374827009_Row" dic='[{"formItemId":1463793260374827009,"isDefault":0,"updateDate":1700191214000,"code":"y","id":1463794039785562114,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463793260374827009,"isDefault":0,"updateDate":1700191214000,"code":"n","id":1463794041027076098,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行压疮危险因素评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793260374827009" itemCode="HBIPS-2-3-1"></div><a id="1463793260374827009_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793260374827009_Note"></span></div><div class="itemTR" id="1463793262136434690_Row" dic='[{"formItemId":1463793262136434690,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794043740790785,"indNo":2,"isActive":1,"desc":"Waterlow压疮危险因素评估的分值"},{"formItemId":1463793262136434690,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794044520931330,"indNo":3,"isActive":1,"desc":"Norton压疮危险因素评估的分值"},{"formItemId":1463793262136434690,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794045200408578,"indNo":4,"isActive":1,"desc":"Braden压疮危险因素评估的分值"},{"formItemId":1463793262136434690,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289072875495426,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>压疮危险因素评估选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793262136434690" itemCode="HBIPS-2-3-2"><a id="1463793262136434690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793262136434690_Note"></span></div><div class="itemTR" id="1463793263965151234_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-2-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Waterlow压疮危险因素评估的分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793263965151234" itemCode="HBIPS-2-3-2-1"><a id="1463793263965151234_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793263965151234_Note"></span></div><div class="itemTR" id="1463793265793867778_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-2-3-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Norton压疮危险因素评估的分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793265793867778" itemCode="HBIPS-2-3-2-2"><a id="1463793265793867778_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793265793867778_Note"></span></div><div class="itemTR" id="1463793267953934337_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-2-3-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Braden压疮危险因素评估的分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793267953934337" itemCode="HBIPS-2-3-2-3"><a id="1463793267953934337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793267953934337_Note"></span></div><div class="itemTR" id="1463793270046892034_Row" dic='[{"formItemId":1463793270046892034,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794047943483394,"indNo":2,"isActive":1,"desc":"ICD-10:L89.0受压区Ⅰ期褥疮"},{"formItemId":1463793270046892034,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794049629593602,"indNo":3,"isActive":1,"desc":"ICD-10:L89.1受压区Ⅱ期褥疮"},{"formItemId":1463793270046892034,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794050254544897,"indNo":4,"isActive":1,"desc":"ICD-10:L89.2受压区Ⅲ期褥疮"},{"formItemId":1463793270046892034,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794051236012033,"indNo":5,"isActive":1,"desc":"ICD-10:L89.3受压区Ⅳ期褥疮"},{"formItemId":1463793270046892034,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794051865157634,"indNo":6,"isActive":1,"desc":"ICD-10:L89.9未特指的受压区褥疮"},{"formItemId":1463793270046892034,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289073085210625,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时，其他诊断中有ICD-10编码L89及受压区压疮</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793270046892034" itemCode="HBIPS-2-4"><a id="1463793270046892034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793270046892034_Note"></span></div><div class="itemTR" id="1463793271850442754_Row" dic='[{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794053433827329,"indNo":2,"isActive":1,"desc":"骶尾椎骨处"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794054163636225,"indNo":3,"isActive":1,"desc":"坐骨处"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794055388372993,"indNo":4,"isActive":1,"desc":"股骨粗隆处"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794056021712897,"indNo":5,"isActive":1,"desc":"跟骨处"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794056646664194,"indNo":6,"isActive":1,"desc":"足踝处"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"f","id":1463794057326141441,"indNo":7,"isActive":1,"desc":"肩胛骨处"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"g","id":1463794059536539649,"indNo":8,"isActive":1,"desc":"枕骨处"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"h","id":1463794060174073857,"indNo":9,"isActive":1,"desc":"其他部位"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"i","id":1463794060840968194,"indNo":10,"isActive":1,"desc":"多部位"},{"formItemId":1463793271850442754,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289073374617602,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院期间发生压疮的部位</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793271850442754" itemCode="HBIPS-2-5"><a id="1463793271850442754_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793271850442754_Note"></span></div><p title="医院内跌倒/坠床发生率及伤害严重程度" class="itemsubCat">医院内跌倒/坠床发生率及伤害严重程度</p><div class="itemTR" id="1463793273729490946_Row" dic='[{"formItemId":1463793273729490946,"isDefault":0,"updateDate":1704162110000,"code":"y","matchRule":"","updateUser":"admin","id":1463794062111842306,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793273729490946,"isDefault":1,"updateDate":1704162110000,"code":"n","matchRule":"","updateUser":"admin","id":1463794062761959425,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生跌倒/坠床</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793273729490946" itemCode="HBIPS-3-1"></div><a id="1463793273729490946_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793273729490946_Note"></span></div><div class="itemTR" id="1463793275650482178_Row" dic='[{"formItemId":1463793275650482178,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794064125108225,"indNo":2,"isActive":1,"desc":"因患者健康状况而造成"},{"formItemId":1463793275650482178,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794064825556994,"indNo":3,"isActive":1,"desc":"治疗、药物和（或）麻醉反应而造成"},{"formItemId":1463793275650482178,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794065546977282,"indNo":4,"isActive":1,"desc":"因环境中危险因子而造成"},{"formItemId":1463793275650482178,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794066218065921,"indNo":5,"isActive":1,"desc":"因其他因素而造成"},{"formItemId":1463793275650482178,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289073982791682,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发生的跌倒/坠床及其原因的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793275650482178" itemCode="HBIPS-3-2"><a id="1463793275650482178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793275650482178_Note"></span></div><div class="itemTR" id="1463793277475004418_Row" dic='[{"formItemId":1463793277475004418,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794067610574850,"indNo":2,"isActive":1,"desc":"1级轻度功能损伤"},{"formItemId":1463793277475004418,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794068260691969,"indNo":3,"isActive":1,"desc":"2级中度功能损伤"},{"formItemId":1463793277475004418,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794068906614786,"indNo":4,"isActive":1,"desc":"3级重度功能损伤"},{"formItemId":1463793277475004418,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289074234449921,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>跌倒/坠床造成的伤害程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793277475004418" itemCode="HBIPS-3-3"><a id="1463793277475004418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793277475004418_Note"></span></div><p title="住院患者烫伤" class="itemsubCat">住院患者烫伤</p><div class="itemTR" id="1463793279320498178_Row" dic='[{"formItemId":1463793279320498178,"isDefault":0,"updateDate":1704162120000,"code":"y","matchRule":"","updateUser":"admin","id":1463794070282346497,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793279320498178,"isDefault":1,"updateDate":1704162120000,"code":"n","matchRule":"","updateUser":"admin","id":1463794070936657922,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生烫伤</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793279320498178" itemCode="HBIPS-4-1"></div><a id="1463793279320498178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793279320498178_Note"></span></div><div class="itemTR" id="1463793281094688770_Row" dic='[{"formItemId":1463793281094688770,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794072266252290,"indNo":2,"isActive":1,"desc":"因患者精神症状而造成烫伤"},{"formItemId":1463793281094688770,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794072891203586,"indNo":3,"isActive":1,"desc":"因治疗或药物反应而造成烫伤"},{"formItemId":1463793281094688770,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794073604235266,"indNo":4,"isActive":1,"desc":"因环境中危险因素而造成烫伤"},{"formItemId":1463793281094688770,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289074565799937,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>造成烫伤可能的因素</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793281094688770" itemCode="HBIPS-4-2"><a id="1463793281094688770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793281094688770_Note"></span></div><div class="itemTR" id="1463793283019874306_Row" dic='[{"formItemId":1463793283019874306,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794075130961922,"indNo":2,"isActive":1,"desc":"ICD-10编码T30.1，Ⅰ度烫伤"},{"formItemId":1463793283019874306,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794075776884738,"indNo":3,"isActive":1,"desc":"ICD-10编码T30.2，Ⅱ度烫伤"},{"formItemId":1463793283019874306,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794076456361985,"indNo":4,"isActive":1,"desc":"ICD-10编码T30.3，Ⅲ度烫伤"},{"formItemId":1463793283019874306,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289074775515137,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>烫伤伤害的程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793283019874306" itemCode="HBIPS-4-3"><a id="1463793283019874306_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793283019874306_Note"></span></div><div class="itemTR" id="1463793284802453505_Row" dic='[{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794079069413377,"indNo":2,"isActive":1,"desc":"ICD-10编码T31.0累及体表10％以下的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794080650665985,"indNo":3,"isActive":1,"desc":"ICD-10编码T31.1累及体表10-19％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794081284005889,"indNo":4,"isActive":1,"desc":"ICD-10编码T31.2累及体表20-29％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794082248695809,"indNo":5,"isActive":1,"desc":"ICD-10编码T31.3累及体表30-39％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794082869452802,"indNo":6,"isActive":1,"desc":"ICD-10编码T31.4累及体表40-49％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"f","id":1463794083515375617,"indNo":7,"isActive":1,"desc":"ICD-10编码T31.5累及体表50-59％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"g","id":1463794084148715521,"indNo":8,"isActive":1,"desc":"ICD-10编码T31.6累及体表60-69％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"h","id":1463794084857552898,"indNo":9,"isActive":1,"desc":"ICD-10编码T31.7累及体表70-79％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"i","id":1463794085545418754,"indNo":10,"isActive":1,"desc":"ICD-10编码T31.8累及体表80-89％的烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"j","id":1463794086262644737,"indNo":11,"isActive":1,"desc":"ICD-10编码T31.9累及体表90％及以上烧伤"},{"formItemId":1463793284802453505,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289074981036034,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-4-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>烫伤累及的体表面积与ICD-10编码T31.0-31.9</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793284802453505" itemCode="HBIPS-4-4"><a id="1463793284802453505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793284802453505_Note"></span></div><p title="噎食窒息发生率及伤害严重程度" class="itemsubCat">噎食窒息发生率及伤害严重程度</p><div class="itemTR" id="1463793286723444737_Row" dic='[{"formItemId":1463793286723444737,"isDefault":0,"updateDate":1704162129000,"code":"y","matchRule":"","updateUser":"admin","id":1463794087730651138,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793286723444737,"isDefault":1,"updateDate":1704162129000,"code":"n","matchRule":"","updateUser":"admin","id":1463794088896667649,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生噎食窒息</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793286723444737" itemCode="HBIPS-5-1"></div><a id="1463793286723444737_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793286723444737_Note"></span></div><div class="itemTR" id="1463793288757682178_Row" dic='[{"formItemId":1463793288757682178,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794090238844929,"indNo":2,"isActive":1,"desc":"因治疗而造成"},{"formItemId":1463793288757682178,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794092231139329,"indNo":3,"isActive":1,"desc":"因药物反应而造成"},{"formItemId":1463793288757682178,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794092944171009,"indNo":4,"isActive":1,"desc":"因其他因素而造成"},{"formItemId":1463793288757682178,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289075622764546,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>噎食窒息的原因</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793288757682178" itemCode="HBIPS-5-2"><a id="1463793288757682178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793288757682178_Note"></span></div><div class="itemTR" id="1463793290578010113_Row" dic='[{"formItemId":1463793290578010113,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794094340874242,"indNo":2,"isActive":1,"desc":"完全性阻塞：指呼吸道完全阻塞。"},{"formItemId":1463793290578010113,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794095045517313,"indNo":3,"isActive":1,"desc":"不完全性阻塞：指呼吸道部分阻塞致患者呼吸不畅"},{"formItemId":1463793290578010113,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289075828285441,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>呼吸道阻塞的程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793290578010113" itemCode="HBIPS-5-3"><a id="1463793290578010113_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793290578010113_Note"></span></div><div class="itemTR" id="1463793293392388098_Row" dic='[{"formItemId":1463793293392388098,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794096744210433,"indNo":2,"isActive":1,"desc":"噎食窒息伤害严重度1级（抢救成功）"},{"formItemId":1463793293392388098,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794097524350977,"indNo":3,"isActive":1,"desc":"噎食窒息伤害严重度2级（有后遗症）"},{"formItemId":1463793293392388098,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794098145107969,"indNo":4,"isActive":1,"desc":"噎食窒息伤害严重度3级（导致死亡）"},{"formItemId":1463793293392388098,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289075996057602,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>噎食窒息造成的伤害程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793293392388098" itemCode="HBIPS-5-4"><a id="1463793293392388098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793293392388098_Note"></span></div><p title="自杀、自伤发生率及伤害严重程度" class="itemsubCat">自杀、自伤发生率及伤害严重程度</p><div class="itemTR" id="1463793295250464769_Row" dic='[{"formItemId":1463793295250464769,"isDefault":0,"updateDate":1704162137000,"code":"y","matchRule":"","updateUser":"admin","id":1463794099499868162,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793295250464769,"isDefault":1,"updateDate":1704162137000,"code":"n","matchRule":"","updateUser":"admin","id":1463794100196122626,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生自杀</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793295250464769" itemCode="HBIPS-6-1-1"></div><a id="1463793295250464769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793295250464769_Note"></span></div><div class="itemTR" id="1463793297607663617_Row" dic='[{"formItemId":1463793297607663617,"isDefault":0,"updateDate":1700191214000,"code":"y","id":1463794101643157506,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463793297607663617,"isDefault":0,"updateDate":1700191214000,"code":"n","id":1463794102339411969,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后有自杀危险因素评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793297607663617" itemCode="HBIPS-6-1-2"></div><a id="1463793297607663617_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793297607663617_Note"></span></div><div class="itemTR" id="1463793299377659905_Row" dic='[{"formItemId":1463793299377659905,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794104793079809,"indNo":2,"isActive":1,"desc":"因患者精神症状而造成自杀"},{"formItemId":1463793299377659905,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794105644523521,"indNo":3,"isActive":1,"desc":"因治疗而造成自杀"},{"formItemId":1463793299377659905,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794108324683777,"indNo":4,"isActive":1,"desc":"因药物反应而造成自杀"},{"formItemId":1463793299377659905,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794109037715457,"indNo":5,"isActive":1,"desc":"因环境中危险因素而造成自杀"},{"formItemId":1463793299377659905,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794109679443970,"indNo":6,"isActive":1,"desc":"因其他因素而造成自杀"},{"formItemId":1463793299377659905,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289076470013953,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者的自杀原因</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793299377659905" itemCode="HBIPS-6-1-3"><a id="1463793299377659905_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793299377659905_Note"></span></div><div class="itemTR" id="1463793301399314434_Row" dic='[{"formItemId":1463793301399314434,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794111042592769,"indNo":2,"isActive":1,"desc":"自杀伤害严重度1级（经过治疗未损伤功能）"},{"formItemId":1463793301399314434,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794111743041537,"indNo":3,"isActive":1,"desc":"自杀伤害严重度2级（有功能损伤）"},{"formItemId":1463793301399314434,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794112409935873,"indNo":4,"isActive":1,"desc":"自杀伤害严重度3级（导致死亡）"},{"formItemId":1463793301399314434,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289076767809538,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>自杀造成伤害程度的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793301399314434" itemCode="HBIPS-6-1-4"><a id="1463793301399314434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793301399314434_Note"></span></div><div class="itemTR" id="1463793303408386050_Row" dic='[{"formItemId":1463793303408386050,"isDefault":0,"updateDate":1704162146000,"code":"y","matchRule":"","updateUser":"admin","id":1463794113873747970,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793303408386050,"isDefault":1,"updateDate":1704162146000,"code":"n","matchRule":"","updateUser":"admin","id":1463794114582585346,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生自伤</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793303408386050" itemCode="HBIPS-6-2-1"></div><a id="1463793303408386050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793303408386050_Note"></span></div><div class="itemTR" id="1463793305178382337_Row" dic='[{"formItemId":1463793305178382337,"isDefault":0,"updateDate":1700191214000,"code":"y","id":1463794115979288577,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463793305178382337,"isDefault":0,"updateDate":1700191214000,"code":"n","id":1463794118567174146,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后是否有自伤危险因素评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793305178382337" itemCode="HBIPS-6-2-2"></div><a id="1463793305178382337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793305178382337_Note"></span></div><div class="itemTR" id="1463793306872881153_Row" dic='[{"formItemId":1463793306872881153,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794119976460290,"indNo":2,"isActive":1,"desc":"因患者精神症状而造成"},{"formItemId":1463793306872881153,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794120668520450,"indNo":3,"isActive":1,"desc":"因治疗而造成"},{"formItemId":1463793306872881153,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794121327026177,"indNo":4,"isActive":1,"desc":"因药物反应而造成"},{"formItemId":1463793306872881153,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794122472071169,"indNo":5,"isActive":1,"desc":"因环境中危险因素而造成"},{"formItemId":1463793306872881153,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794123092828161,"indNo":6,"isActive":1,"desc":"因其他因素而造成自伤"},{"formItemId":1463793306872881153,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289077237571586,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者的自伤原因</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793306872881153" itemCode="HBIPS-6-2-3"><a id="1463793306872881153_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793306872881153_Note"></span></div><div class="itemTR" id="1463793308542214145_Row" dic='[{"formItemId":1463793308542214145,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794124309176321,"indNo":2,"isActive":1,"desc":"自伤伤害严重度1级（经过治疗未损伤功能）"},{"formItemId":1463793308542214145,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794125030596609,"indNo":3,"isActive":1,"desc":"自伤伤害严重度2级（有功能损伤）"},{"formItemId":1463793308542214145,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794125806542850,"indNo":4,"isActive":1,"desc":"自伤伤害严重度3级（导致死亡）"},{"formItemId":1463793308542214145,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289077535367170,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-6-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>自伤造成的伤害程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793308542214145" itemCode="HBIPS-6-2-4"><a id="1463793308542214145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793308542214145_Note"></span></div><p title="伤人、毁物发生率及伤害严重程度" class="itemsubCat">伤人、毁物发生率及伤害严重程度</p><div class="itemTR" id="1463793310333181953_Row" dic='[{"formItemId":1463793310333181953,"isDefault":0,"updateDate":1704162156000,"code":"y","matchRule":"","updateUser":"admin","id":1463794127224217601,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793310333181953,"isDefault":1,"updateDate":1704162156000,"code":"n","matchRule":"","updateUser":"admin","id":1463794128037912577,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-7-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生伤人、毁物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793310333181953" itemCode="HBIPS-7-1"></div><a id="1463793310333181953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793310333181953_Note"></span></div><div class="itemTR" id="1463793312103178242_Row" dic='[{"formItemId":1463793312103178242,"isDefault":0,"updateDate":1700191214000,"code":"y","id":1463794129380089857,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463793312103178242,"isDefault":0,"updateDate":1700191214000,"code":"n","id":1463794130017624065,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-7-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后是否有伤人、毁物的危险因素评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793312103178242" itemCode="HBIPS-7-2"></div><a id="1463793312103178242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793312103178242_Note"></span></div><div class="itemTR" id="1463793314078695426_Row" dic='[{"formItemId":1463793314078695426,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794131527573505,"indNo":2,"isActive":1,"desc":"因精神症状而造成伤人"},{"formItemId":1463793314078695426,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794132177690625,"indNo":3,"isActive":1,"desc":"因治疗而造成伤人"},{"formItemId":1463793314078695426,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794132836196354,"indNo":4,"isActive":1,"desc":"因药物反应而造成伤人"},{"formItemId":1463793314078695426,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794133482119169,"indNo":5,"isActive":1,"desc":"因其他因素而造成伤人"},{"formItemId":1463793314078695426,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289077992546306,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-7-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>伤人与毁物的原因</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793314078695426" itemCode="HBIPS-7-3"><a id="1463793314078695426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793314078695426_Note"></span></div><div class="itemTR" id="1463793316880490498_Row" dic='[{"formItemId":1463793316880490498,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794134790742017,"indNo":2,"isActive":1,"desc":"伤害严重度1级（经过治疗未损伤功能）"},{"formItemId":1463793316880490498,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794135449247746,"indNo":3,"isActive":1,"desc":"伤害严重度2级（有功能损伤）"},{"formItemId":1463793316880490498,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794136082587649,"indNo":4,"isActive":1,"desc":"伤害严重度3级（导致死亡）"},{"formItemId":1463793316880490498,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289078256787457,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-7-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>造成的伤害程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793316880490498" itemCode="HBIPS-7-4"><a id="1463793316880490498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793316880490498_Note"></span></div><p title="擅自离院发生率" class="itemsubCat">擅自离院发生率</p><div class="itemTR" id="1463793318923116546_Row" dic='[{"formItemId":1463793318923116546,"isDefault":0,"updateDate":1704162167000,"code":"y","matchRule":"","updateUser":"admin","id":1463794137470902273,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793318923116546,"isDefault":1,"updateDate":1704162167000,"code":"n","matchRule":"","updateUser":"admin","id":1463794138141990914,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者是否发生擅自离院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793318923116546" itemCode="HBIPS-8"></div><a id="1463793318923116546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793318923116546_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('HBIPS-3 住院期间使用约束和隔离措施情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBIPS-3 住院期间使用约束和隔离措施情况</div><div title="HBIPS-3 住院期间使用约束和隔离措施情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463793320760221698_Row" dic='[{"formItemId":1463793320760221698,"isDefault":0,"updateDate":1704162175000,"code":"y","matchRule":"","updateUser":"admin","id":1463794139870044162,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793320760221698,"isDefault":1,"updateDate":1704162175000,"code":"n","matchRule":"","updateUser":"admin","id":1463794140494995457,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院期间是否实施约束</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793320760221698" itemCode="HBIPS-9-1"></div><a id="1463793320760221698_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793320760221698_Note"></span></div><div class="itemTR" id="1463793322576355329_Row" dic='[{"formItemId":1463793322576355329,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794141812006914,"indNo":2,"isActive":1,"desc":"因认知障碍而使用身体约束"},{"formItemId":1463793322576355329,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794142462124033,"indNo":3,"isActive":1,"desc":"因跌到可能而使用身体约束"},{"formItemId":1463793322576355329,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794143397453826,"indNo":4,"isActive":1,"desc":"因行为紊乱而使用身体约束"},{"formItemId":1463793322576355329,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794144051765250,"indNo":5,"isActive":1,"desc":"因治疗需要而使用身体约束"},{"formItemId":1463793322576355329,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794144756408322,"indNo":6,"isActive":1,"desc":"因其他原因而使用身体约束"},{"formItemId":1463793322576355329,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289078697189377,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院期间首次实施约束的主要原因</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793322576355329" itemCode="HBIPS-9-1-2"><a id="1463793322576355329_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793322576355329_Note"></span></div><div class="itemTR" id="1463793324480569346_Row" dic='[{"formItemId":1463793324480569346,"isDefault":0,"updateDate":1700191214000,"code":"UTD","id":1463794146090196994,"indNo":1,"isActive":1,"desc":"不详"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-6-1" class="itemDescTD">首次使用身体约束开始时间是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793324480569346" itemCode="HBIPS-9-1-6-1"></div><a id="1463793324480569346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793324480569346_Note"></span></div><div class="itemTR" id="1463793326653218818_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次使用身体约束开始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793326653218818" itemCode="HBIPS-9-1-6"><a id="1463793326653218818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793326653218818_Note"></span></div><div class="itemTR" id="1463793328423215106_Row" dic='[{"formItemId":1463793328423215106,"isDefault":0,"updateDate":1700191214000,"code":"UTD","id":1463794148774551553,"indNo":1,"isActive":1,"desc":"不详"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-7-1" class="itemDescTD">首次实施约束终止时间是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793328423215106" itemCode="HBIPS-9-1-7-1"></div><a id="1463793328423215106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793328423215106_Note"></span></div><div class="itemTR" id="1463793330197405698_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次实施约束终止时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793330197405698" itemCode="HBIPS-9-1-7"><a id="1463793330197405698_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793330197405698_Note"></span></div><div class="itemTR" id="1463793331938041857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次实施约束持续时间</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793331938041857" itemCode="HBIPS-9-1-8"><a id="1463793331938041857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793331938041857_Note"></span></div><div class="itemTR" id="1463793335629029377_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院期间实施约束累积次数</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793335629029377" itemCode="HBIPS-9-1-9"><a id="1463793335629029377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793335629029377_Note"></span></div><div class="itemTR" id="1463793337449357313_Row" dic='[{"formItemId":1463793337449357313,"isDefault":0,"updateDate":1700191214000,"code":"y","id":1463794151484071937,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463793337449357313,"isDefault":0,"updateDate":1700191214000,"code":"n","id":1463794152142577666,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院期间实施约束是否有并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793337449357313" itemCode="HBIPS-9-1-5"></div><a id="1463793337449357313_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793337449357313_Note"></span></div><div class="itemTR" id="1463793339361959937_Row" dic='[{"formItemId":1463793339361959937,"isDefault":0,"updateDate":1704162185000,"code":"y","matchRule":"","updateUser":"admin","id":1463794153539280897,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463793339361959937,"isDefault":1,"updateDate":1704162185000,"code":"n","matchRule":"","updateUser":"admin","id":1463794155204419586,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院期间是否实施隔离保护</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793339361959937" itemCode="HBIPS-9-2-1"></div><a id="1463793339361959937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793339361959937_Note"></span></div><div class="itemTR" id="1463793342604156930_Row" dic='[{"formItemId":1463793342604156930,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794156643065857,"indNo":2,"isActive":1,"desc":"保障患者自身的安全"},{"formItemId":1463793342604156930,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794157255434242,"indNo":3,"isActive":1,"desc":"保护其他患者的人身安全"},{"formItemId":1463793342604156930,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794157955883009,"indNo":4,"isActive":1,"desc":"保障患者得到及时有效的治疗，早日康复"},{"formItemId":1463793342604156930,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794158731829249,"indNo":5,"isActive":1,"desc":"保护医务人员的安全，维护正常医疗秩序"},{"formItemId":1463793342604156930,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794160396967937,"indNo":6,"isActive":1,"desc":"医师认定的其他原因"},{"formItemId":1463793342604156930,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289079460552705,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院期间实施使用隔离措施的主要事由</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793342604156930" itemCode="HBIPS-9-2-2"><a id="1463793342604156930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793342604156930_Note"></span></div><div class="itemTR" id="1463793344416096258_Row" dic='[{"formItemId":1463793344416096258,"isDefault":0,"updateDate":1700191214000,"code":"UTD","id":1463794161667842049,"indNo":1,"isActive":1,"desc":"不详"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-2-6-1" class="itemDescTD">首次使用隔离保护开始时间是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793344416096258" itemCode="HBIPS-9-2-6-1"></div><a id="1463793344416096258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793344416096258_Note"></span></div><div class="itemTR" id="1463793346341281793_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-9-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次使用隔离保护开始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793346341281793" itemCode="HBIPS-9-2-6"><a id="1463793346341281793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793346341281793_Note"></span></div><div class="itemTR" id="1463793349214380033_Row" dic='[{"formItemId":1463793349214380033,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794163005825025,"indNo":2,"isActive":1,"desc":"使用身体约束开始于上午7点到下午2:59"},{"formItemId":1463793349214380033,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794163651747842,"indNo":3,"isActive":1,"desc":"使用身体约束开始于下午3点到下午10:59"},{"formItemId":1463793349214380033,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794164276699138,"indNo":4,"isActive":1,"desc":"使用身体约束开始于下午11点到次日6:59"},{"formItemId":1463793349214380033,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289079812874241,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-2-3" class="itemDescTD">使用隔离保护开始时间段</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793349214380033" itemCode="HBIPS-9-2-3"><a id="1463793349214380033_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793349214380033_Note"></span></div><div class="itemTR" id="1463793350959210497_Row" dic='[{"formItemId":1463793350959210497,"isDefault":0,"updateDate":1700191214000,"code":"UTD","id":1463794165581127682,"indNo":1,"isActive":1,"desc":"不详"}]'><div style="display:inline-block;width:35%;" title="HBIPS-9-2-7-1" class="itemDescTD">首次实施约束终止时间是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463793350959210497" itemCode="HBIPS-9-2-7-1"></div><a id="1463793350959210497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793350959210497_Note"></span></div><div class="itemTR" id="1463793352766955521_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-9-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次实施约束终止时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793352766955521" itemCode="HBIPS-9-2-7"><a id="1463793352766955521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793352766955521_Note"></span></div><div class="itemTR" id="1463793354553729026_Row" 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style="display:inline-block;width:35%;" title="HBIPS-12-4" class="itemDescTD">出院时带药:常用抗抑郁药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463793385654493185" itemCode="HBIPS-12-4"></div><a id="1463793385654493185_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793385654493185_Note"></span></div><div class="itemTR" id="1463793387701313538_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBIPS-12-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其它抗抑郁药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793387701313538" itemCode="HBIPS-12-4-1"><a id="1463793387701313538_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793387701313538_Note"></span></div></div><div class="itemCat" id="Title7" onclick="objScreen.toggle('HBIPS-7 离院方式')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBIPS-7 离院方式</div><div title="HBIPS-7 离院方式"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463793389785882625_Row" dic='[{"formItemId":1463793389785882625,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794220476178434,"indNo":2,"isActive":1,"desc":"医嘱离院"},{"formItemId":1463793389785882625,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794221877075970,"indNo":3,"isActive":1,"desc":"医嘱转院"},{"formItemId":1463793389785882625,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794223571574786,"indNo":4,"isActive":1,"desc":"医嘱转社区卫生服务机构/乡镇卫生院"},{"formItemId":1463793389785882625,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794224246857730,"indNo":5,"isActive":1,"desc":"非医嘱离院"},{"formItemId":1463793389785882625,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794224972472321,"indNo":6,"isActive":1,"desc":"死亡"},{"formItemId":1463793389785882625,"isDefault":0,"updateDate":1700191214000,"code":"oth","id":1463794225635172354,"indNo":7,"isActive":1,"desc":"其他方式离院"},{"formItemId":1463793389785882625,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289083000545281,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="CM-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>离院方式选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793389785882625" itemCode="CM-4-3"><a id="1463793389785882625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793389785882625_Note"></span></div><div class="itemTR" id="1463793391996280834_Row" dic='[{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794227027681281,"indNo":1,"isActive":1,"desc":"经济原因"},{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794227740712961,"indNo":2,"isActive":1,"desc":"医疗保险付费方式原因"},{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794228390830082,"indNo":3,"isActive":1,"desc":"患者/家人要求原因"},{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"d","id":1463794229158387714,"indNo":4,"isActive":1,"desc":"医院技术原因"},{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"e","id":1463794231255539714,"indNo":5,"isActive":1,"desc":"医院环境原因"},{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"f","id":1463794231951794178,"indNo":6,"isActive":1,"desc":"媒体资讯原因"},{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"oth","id":1463794232689991681,"indNo":7,"isActive":1,"desc":"其他"},{"formItemId":1463793391996280834,"isDefault":0,"updateDate":1700191214000,"code":"UTD","id":1463794233327525890,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-4-5" class="itemDescTD">非医嘱离院可能涉及因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463793391996280834" itemCode="CM-4-5"></div><a id="1463793391996280834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793391996280834_Note"></span></div><div class="itemTR" id="1463793394051489793_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他非医嘱离院因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793394051489793" itemCode="CM-4-4-1"><a id="1463793394051489793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793394051489793_Note"></span></div><div class="itemTR" id="1463793396081532930_Row" dic='[{"formItemId":1463793396081532930,"isDefault":0,"updateDate":1700191214000,"code":"a","id":1463794234900389889,"indNo":2,"isActive":1,"desc":"死亡与HBIPS有直接关系"},{"formItemId":1463793396081532930,"isDefault":0,"updateDate":1700191214000,"code":"b","id":1463794235907022849,"indNo":3,"isActive":1,"desc":"死亡与HBIPS有间接关系"},{"formItemId":1463793396081532930,"isDefault":0,"updateDate":1700191214000,"code":"c","id":1463794237702184962,"indNo":4,"isActive":1,"desc":"死亡与HBIPS无关，即死于不相关的疾病，如癌症或其他意外"},{"formItemId":1463793396081532930,"isDefault":0,"updateDate":1700191214000,"code":"UTD","id":1463794238406828034,"indNo":5,"isActive":1,"desc":"无法确定或无记录"},{"formItemId":1463793396081532930,"isDefault":0,"updateDate":1700191214000,"code":"def","id":1583289083721965569,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="CM-4-6" class="itemDescTD">死亡可能涉及因素</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793396081532930" itemCode="CM-4-6"><a id="1463793396081532930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793396081532930_Note"></span></div></div><div class="itemCat" id="Title8" onclick="objScreen.toggle('HBIPS-8 住院费用完成')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBIPS-8 住院费用完成</div><div title="HBIPS-8 住院费用完成"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463793398983991297_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793398983991297" itemCode="CM-6-1"><a id="1463793398983991297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793398983991297_Note"></span></div><div class="itemTR" id="1463793401030811650_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793401030811650" itemCode="CM-6-2"><a id="1463793401030811650_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793401030811650_Note"></span></div><div class="itemTR" id="1463793402997940226_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793402997940226" itemCode="CM-6-3"><a id="1463793402997940226_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793402997940226_Note"></span></div><div class="itemTR" id="1463793405103480833_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793405103480833" itemCode="CM-6-4"><a id="1463793405103480833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793405103480833_Note"></span></div><div class="itemTR" id="1463793407473262594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793407473262594" itemCode="CM-6-5"><a id="1463793407473262594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793407473262594_Note"></span></div><div class="itemTR" id="1463793409469751297_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793409469751297" itemCode="CM-6-6"><a id="1463793409469751297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793409469751297_Note"></span></div><div class="itemTR" id="1463793412590313474_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793412590313474" itemCode="CM-6-7"><a id="1463793412590313474_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793412590313474_Note"></span></div><div class="itemTR" id="1463793415371137026_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793415371137026" itemCode="CM-6-8"><a id="1463793415371137026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793415371137026_Note"></span></div><div class="itemTR" id="1463793417212436481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793417212436481" itemCode="CM-6-9"><a id="1463793417212436481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793417212436481_Note"></span></div><div class="itemTR" id="1463793418982432770_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793418982432770" itemCode="CM-6-10"><a id="1463793418982432770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793418982432770_Note"></span></div><div class="itemTR" id="1463793420806955009_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793420806955009" itemCode="CM-6-11"><a id="1463793420806955009_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793420806955009_Note"></span></div><div class="itemTR" id="1463793422539202561_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793422539202561" itemCode="CM-6-12"><a id="1463793422539202561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793422539202561_Note"></span></div><div class="itemTR" id="1463793425668153346_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793425668153346" itemCode="CM-6-13"><a id="1463793425668153346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793425668153346_Note"></span></div><div class="itemTR" id="1463793427484286978_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793427484286978" itemCode="CM-6-14"><a id="1463793427484286978_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793427484286978_Note"></span></div><div class="itemTR" id="1463793429321392130_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793429321392130" itemCode="CM-6-15"><a id="1463793429321392130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793429321392130_Note"></span></div><div class="itemTR" id="1463793431141720065_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793431141720065" itemCode="CM-6-16"><a id="1463793431141720065_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793431141720065_Note"></span></div><div class="itemTR" id="1463793432932687873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793432932687873" itemCode="CM-6-17"><a id="1463793432932687873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793432932687873_Note"></span></div><div class="itemTR" id="1463793434736238594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793434736238594" itemCode="CM-6-18"><a id="1463793434736238594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793434736238594_Note"></span></div><div class="itemTR" id="1463793436497846274_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793436497846274" itemCode="CM-6-19"><a id="1463793436497846274_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793436497846274_Note"></span></div><div class="itemTR" id="1463793438351728642_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793438351728642" itemCode="CM-6-20"><a id="1463793438351728642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793438351728642_Note"></span></div><div class="itemTR" id="1463793440188833794_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793440188833794" itemCode="CM-6-21"><a id="1463793440188833794_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793440188833794_Note"></span></div><div class="itemTR" id="1463793442130796546_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793442130796546" itemCode="CM-6-22"><a id="1463793442130796546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793442130796546_Note"></span></div><div class="itemTR" id="1463793444815151105_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793444815151105" itemCode="CM-6-23"><a id="1463793444815151105_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793444815151105_Note"></span></div><div class="itemTR" id="1463793446681616385_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793446681616385" itemCode="CM-6-24"><a id="1463793446681616385_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793446681616385_Note"></span></div><div class="itemTR" id="1463793449537937409_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793449537937409" itemCode="CM-6-25"><a id="1463793449537937409_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793449537937409_Note"></span></div><div class="itemTR" id="1463793451463122945_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793451463122945" itemCode="CM-6-26"><a id="1463793451463122945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793451463122945_Note"></span></div><div class="itemTR" id="1463793453824516098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793453824516098" itemCode="CM-6-27"><a id="1463793453824516098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793453824516098_Note"></span></div><div class="itemTR" id="1463793455741313026_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793455741313026" itemCode="CM-6-28"><a id="1463793455741313026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793455741313026_Note"></span></div><div class="itemTR" id="1463793459340025857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793459340025857" itemCode="CM-6-29"><a id="1463793459340025857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793459340025857_Note"></span></div><div class="itemTR" id="1463793461592367106_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463793461592367106" itemCode="CM-6-30"><a id="1463793461592367106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463793461592367106_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>HBIPS-1 患者入院病情评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>HBIPS-2 住院期间严重不良事件</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>HBIPS-3 住院期间使用约束和隔离措施情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>HBIPS-4 出院前进行社会功能评估情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>HBIPS-5 出院时制定持续服务计划情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>HBIPS-6 出院时抗精神病和抗抑郁药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>HBIPS-7 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>HBIPS-8 住院费用完成</a></li></ul></div>
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